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与椎弓根螺钉相比,皮质骨轨迹内固定术在单节段腰椎管狭窄症和退变性腰椎滑脱症的手术中具有更好的围手术期效果。

Cortical bone trajectory instrumentation provides favorable perioperative outcomes compared to pedicle screws for single-level lumbar spinal stenosis and degenerative spondylolisthesis.

作者信息

Menon Nandakumar, Turcotte Justin, Speciale Alessandro, Patton Chad M

机构信息

AAMC Orthopedics, Anne Arundel Medical Center, 2000 Medical Parkway, Suite 101, Annapolis, MD, USA.

出版信息

J Orthop. 2020 Apr 26;22:146-150. doi: 10.1016/j.jor.2020.04.001. eCollection 2020 Nov-Dec.


DOI:10.1016/j.jor.2020.04.001
PMID:32382216
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7200191/
Abstract

OBJECTIVE: To compare perioperative outcomes between cortical bone trajectory (CBT) instrumentation with pedicle screws (PS) in patients undergoing laminectomy and posterolateral fusion for single-level lumbar spinal stenosis, and degenerative grade I spondylolisthesis. METHODS: A consecutive series of 91 patients from a single institution between January 2017 and July 2019 were retrospectively reviewed. RESULTS: Patients in CBT group had significantly shorter operative time, lower blood loss and shorter length of stay. CONCLUSION: CBT instrumentation demonstrated favorable perioperative outcomes that may enhance the overall value in patients undergoing laminectomy and posterolateral fusion for single-level lumbar spinal stenosis, and degenerative grade I spondylolisthesis.

摘要

目的:比较在接受单节段腰椎管狭窄症及退变性I度腰椎滑脱症椎板切除及后外侧融合术的患者中,使用皮质骨轨迹(CBT)器械与椎弓根螺钉(PS)的围手术期结果。 方法:回顾性分析了2017年1月至2019年7月来自单一机构的连续91例患者。 结果:CBT组患者的手术时间明显更短,失血量更低,住院时间更短。 结论:CBT器械显示出良好的围手术期结果,这可能会提高接受单节段腰椎管狭窄症及退变性I度腰椎滑脱症椎板切除及后外侧融合术患者的整体价值。

相似文献

[1]
Cortical bone trajectory instrumentation provides favorable perioperative outcomes compared to pedicle screws for single-level lumbar spinal stenosis and degenerative spondylolisthesis.

J Orthop. 2020-4-26

[2]
Posterior lumbar interbody fusion with cortical bone trajectory screw fixation versus posterior lumbar interbody fusion using traditional pedicle screw fixation for degenerative lumbar spondylolisthesis: a comparative study.

J Neurosurg Spine. 2016-11

[3]
1997 Volvo Award winner in clinical studies. Degenerative lumbar spondylolisthesis with spinal stenosis: a prospective, randomized study comparing decompressive laminectomy and arthrodesis with and without spinal instrumentation.

Spine (Phila Pa 1976). 1997-12-15

[4]
Cortical bone trajectory screw fixation versus traditional pedicle screw fixation for 2-level posterior lumbar interbody fusion: comparison of surgical outcomes for 2-level degenerative lumbar spondylolisthesis.

J Neurosurg Spine. 2018-1

[5]
Spinal stenosis in grade I degenerative lumbar spondylolisthesis: a comparative study of outcomes following laminoplasty and laminectomy with instrumented spinal fusion.

J Orthop Sci. 2005-5

[6]
Comparison of Cortical Bone Trajectory Screw Placement Using the Midline Lumbar Fusion Technique to Traditional Pedicle Screws: A Case-Control Study.

Int J Spine Surg. 2019-2-22

[7]
Lumbar Spinal Fixation with Cortical Bone Trajectory Pedicle Screws in 79 Patients with Degenerative Disease: Perioperative Outcomes and Complications.

World Neurosurg. 2016-4

[8]
Comparison of adjacent segment degeneration after successful posterolateral fusion with unilateral or bilateral pedicle screw instrumentation: a minimum 10-year follow-up.

Spine J. 2013-9-25

[9]
Mid-term clinical results of minimally invasive decompression and posterolateral fusion with percutaneous pedicle screws versus conventional approach for degenerative spondylolisthesis with spinal stenosis.

Eur Spine J. 2011-12-16

[10]
Radiographic feasibility study of cortical bone trajectory and traditional pedicle screw dual trajectories.

J Neurosurg Spine. 2016-12

引用本文的文献

[1]
Comparative Analysis Between Cortical Bone Trajectory (CBT) Screw Fixation and Traditional Pedicle Screw Fixation in Lumbar Spine Surgery: A Systematic Review and Meta-Analysis.

Cureus. 2025-7-14

[2]
Expert consensus on the clinical application of cortical bone trajectory for lumbar pedicle screws: results from a modified Delphi study.

Asian Spine J. 2024-10

[3]
A 3D-CT Study of the Cortical Bone Trajectory Screw Placement Parameters Based on Lumbar CT.

Orthop Surg. 2024-11

[4]
Biomechanical investigation of the hybrid lumbar fixation technique with traditional and cortical bone trajectories in transforaminal lumbar interbody fusion: finite element analysis.

J Orthop Surg Res. 2023-7-31

[5]
Minimally invasive fusion surgery for patients with degenerative spondylolisthesis and severe lumbar spinal stenosis: a comparative study between MIDLIF and TLIF.

Eur Spine J. 2023-9

[6]
The effect of the cortical bone trajectory screw fixation and traditional pedicle screw fixation on surgical site wound infection in posterior lumbar fusion wound: A meta-analysis.

Int Wound J. 2023-10

[7]
Application of the cortical bone trajectory technique in posterior lumbar fixation.

World J Clin Cases. 2023-1-16

本文引用的文献

[1]
Minimally-Invasive midline posterior interbody fusion with cortical bone trajectory screws compares favorably to traditional open transforaminal interbody fusion.

Heliyon. 2019-9-11

[2]
[Comparison of cortical bone trajectory screw fixation and pedicle screw fixation in posterior lumbar fusion].

Zhonghua Yi Xue Za Zhi. 2019-5-21

[3]
US regional variations in rates, outcomes, and costs of spinal arthrodesis for lumbar spinal stenosis in working adults aged 40-65 years.

J Neurosurg Spine. 2018-11-2

[4]
Minimally invasive lumbar pedicle screw fixation using cortical bone trajectory - Screw accuracy, complications, and learning curve in 100 screw placements.

J Clin Neurosci. 2019-3

[5]
Incidence of Osteoporosis-Related Complications Following Posterior Lumbar Fusion.

Global Spine J. 2018-9

[6]
Prognostic factors associated with best outcomes (minimal symptom state) following fusion for lumbar degenerative conditions.

Spine J. 2018-6-28

[7]
Trends in isolated lumbar spinal stenosis surgery among working US adults aged 40-64 years, 2010-2014.

J Neurosurg Spine. 2018-8

[8]
Critical analysis of trends in lumbar fusion for degenerative disorders revisited: influence of technique on fusion rate and clinical outcomes.

Eur Spine J. 2018-8

[9]
Review of Cortical Bone Trajectory: Evidence of a New Technique.

Asian Spine J. 2017-10

[10]
After Posterior Fusions for Adult Spinal Deformity, Operative Time is More Predictive of Perioperative Morbidity, Rather Than Surgical Invasiveness: A Need for Speed?

Spine (Phila Pa 1976). 2017-12-15

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